NPI age
20 years
Enumerated 2005-12-29
Across 494 active internal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00884111B | |
| 01 (GA) | 2379532 | AETNA |
| 01 (GA) | 825427 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 3600081 | UNITED HEALTHCARE |
| 01 (GA) | 83BBBQH | MEDICARE ID |
| 01 (GA) | 830007147 | RAILROAD MEDICARE |
| 05 (SC) | G48591 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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